Do labor unions really change the residency experience - or just the perception of it?

This week, Maddi and Jeff explore radiology residents' perspectives on labor union participation with Erica Kinne, MD, Elliot Varney, MD, PhD, and Lars Grimm, MD based on their most recent research. From vacation days and housing stipends to duty hours and wellness, radiology residents weighed in on both the perks and pitfalls of unionization.

Find the original JACR article here: https://www.jacr.org/article/S1546-1440(25)00203-0/fulltext

How can multidisciplinary teams improve lung cancer screening? What are the primary barriers to lung cancer screening and how can they be addressed?

In this week's episode, Maddi and Jeff catch up with Lauren Groner, DO, MS and Rishikesh Dalal, MD, MPH about their research that used behavioral and implementation science to better understand lung cancer screening barriers and develop a strategy to increase screening rates. Their team also developed LungCheck.org to help serve as a hub of information for both providers and patients!

Claim your CME here: https://shorturl.at/6qr97

Find the JACR original article here: https://www.jacr.org/article/S1546-1440(24)00999-2/fulltext

Are radiologists following the playbook on what to do next when there is an incidental adrenal nodule on a lung cancer screening CT?

Maddi and Jeff interview Aparna Singh, MD about her new study that shows radiologists aren't exactly consistent in handling these unexpected findings - sometimes over-reacting, sometimes under-reacting, and often skipping an important lab test entirely. There is also a special guest appearance by Jared Christensen, MD, MBA and his expert insight on the S modifier.

Find the JACR original article here: https://pubmed.ncbi.nlm.nih.gov/40044307/

Inappropriate medical imaging results in low-value, excess imaging - but what about the environmental impact?

Maddi and Jeff sit down with Gregory Cavanagh, MD, Julia Schoen, MD, MS, and Elizabeth Rula, PhD to discuss how their study estimated excess green house gas emissions that are associated with inappropriate medical imaging in the Medicare Part B population from 2017 to 2021.

Find the JACR article here: https://pubmed.ncbi.nlm.nih.gov/40152841/

Get your CME here: https://cortex.acr.org/Presenters/CaseScript/CaseView?Info=RTWVsH3pWR4iYbD5FO37fw305omFBCsKOef8Wr0foV4%253d

The incidental finding of hepatic steatosis on imaging may present an avenue for opportunistic screening, leading to more efficient identification of metabolic dysfunction-associated steatotic liver disease (MASLD) and risk prediction for fibrosis. How can radiologists best facilitate this?

In this episode, Maddi and Jeff sit down with Emily Schonfeld, MD and Andrea Siobhan Kierans, MD to discuss their recent review article about recommendations for when hepatic steatosis is found on imaging and subsequent noninvasive tests to help predict overall fibrosis staging.

Find the JACR article here: https://pubmed.ncbi.nlm.nih.gov/40044315/

Have you ever wondered what additional screening measures could be implemented by utilizing information from routine CT scans?

In this episode, Maddi and Jeff were joined by Soterios Gyftopoulos, MD, MBA, FACR and Casey Pelzl, MPH to discuss their research about how simple, opportunistic CT bone density screening could transform bone health and healthcare spending.

Find the JACR article here: https://www.jacr.org/article/S1546-1440(24)00837-8/fulltext

The Merit-Based Incentive Payment System (MIPS) is the largest pay-for-performance program that links reimbursement to performance of Medicare clinicians. How have radiologists performed under this program and are there certain predictors of success? In this episode, Maddi and Jeff are joined by YoonKyung Chung, PhD and Lauren Nicola, MD to discuss their findings about radiologists' performance under the 2019 MIPS program and they also gain valuable insight from the experts.

Find the JACR article here: https://www.jacr.org/article/S1546-1440(25)00055-9/fulltext

Join us for the last installment of this three part series about re-imagining the radiology residency! In this episode, Fatima Elahi, DO guest co-hosts with Maddi and Jeff to discuss RadDiscord, which is a free educational digital community that allows equalized access to high-quality education. Available to medical students, radiology residents, as well as attending physicians, the platform allows access to case conferences, crowd-sourced Anki decks, and a supportive community.

Link to RadDiscord: https://www.raddiscord.org/

Claim your CME here: https://cortex.acr.org/Presenters/CaseScript/CaseView?Info=wQDhaBanwKm1w3DGH9WrXdv9Thf1LcnhMqXIoSk5Hqk%253d

Part 2 of Revamping the Radiology Residency! Fatima Elahi, DO joins Maddi and Jeff again to discuss competency-based education and its feasibility for real-world adoption in residencies. Priscilla Slanetz, MD, MPH, FACR gives her insight regarding metrics and standardized radiology residency curricula to enable a competency-based education that is time independent.

Find the JACR articles here: https://pubmed.ncbi.nlm.nih.gov/39612973/

https://pubmed.ncbi.nlm.nih.gov/39612972/

Claim your CME here: https://cortex.acr.org/Presenters/CaseScript/CaseView?Info=bSIRxZHC2JPSCgR0CE01uLu%2fU1lCh%2b%2blG%2fLdV1V0Wj0%253d

If you could build your own radiology residency from theground up, what would be the key ingredients you would include? In this episode, Jeff and Maddi invite Fatima Elahi, DO to join them in a discussion on how they would revamp the radiology residency. They also get insights from MaryScanlon, MD and how she has adapted the radiology residency as the program director at her own institution.  She also discusses navigating challenges such as increasing personalized teaching sessions, tailoring case-based conferences, and establishing specialty residency tracks.

Find the JACR article here: https://pubmed.ncbi.nlm.nih.gov/39612972/

Claim your CME here: https://cortex.acr.org/Presenters/CaseScript/CaseView?Info=bSIRxZHC2JOduKkDvGG1zhX3MuyU7KnFQKj2%2bSwWjZo%253d

Link to the APDR Quarterly Roundtable: Customizing the R4Year https://www.youtube.com/watch?v=WIAOATY9sN4